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Effectiveness of H1N1 vaccine for the prevention of pandemic influenza in Scotland, UK: a retrospective observational cohort study

Identifieur interne : 001904 ( PascalFrancis/Curation ); précédent : 001903; suivant : 001905

Effectiveness of H1N1 vaccine for the prevention of pandemic influenza in Scotland, UK: a retrospective observational cohort study

Auteurs : Colin R. Simpson [Royaume-Uni] ; Lewis D. Ritchie [Royaume-Uni] ; Chris Robertson [Royaume-Uni, France] ; Aziz Sheikh [Royaume-Uni] ; Jim Mcmenamin [Royaume-Uni]

Source :

RBID : Pascal:12-0366222

Descripteurs français

English descriptors

Abstract

Background A targeted vaccination programme for pandemic H1N1 2009 influenza was introduced in Scotland, UK, in October, 2009. We sought to assess the effectiveness of this vaccine in a sample of the Scottish population during the 2009-10 pandemic. Methods We assessed the effectiveness of the Scottish pandemic H1N12009 influenza vaccination with a retrospective cohort design. We linked data of patient-level primary care, hospital records, death certification, and virological swabs to construct our cohort. We estimated vaccine effectiveness in a nationally representative sample of the Scottish population by establishing the risk of hospital admission and death (adjusted for potential confounders) resulting from influenza-related morbidity in vaccinated and unvaccinated patients and laboratory-confirmed cases of influenza H1N1 2009 in a subset of patients. Findings Pandemic H1N1 2009 influenza vaccination began in week 43 of 2009 (Oct 21, 2009) and was given to 38 296 (15.5%, 95% CI 15.4-15.6) of 247178 people by the end of the study period (Jan 31, 2010). 208 882 (85%) people were unvaccinated. There were 5207 emergency hospital admissions and 579 deaths in the unvaccinated population and 924 hospital admissions and 71 deaths in the vaccinated population during 23 893 359 person-days of observation. The effectiveness of H1N1 vaccination for prevention of emergency hospital admissions from influenza-related disorders was 19.5% (95% CI 0.8-34.7). The vaccine's effectiveness in preventing laboratory-confirmed influenza was 77.0% (95% CI 2.0-95.0). Interpretation Pandemic H1N12009 influenza vaccination was associated with protection against pandemic influenza and a reduction in hospital admissions from influenza-related disorders in Scotland during the 2009-10 pandemic.
pA  
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A08 01  1  ENG  @1 Effectiveness of H1N1 vaccine for the prevention of pandemic influenza in Scotland, UK: a retrospective observational cohort study
A11 01  1    @1 SIMPSON (Colin R.)
A11 02  1    @1 RITCHIE (Lewis D.)
A11 03  1    @1 ROBERTSON (Chris)
A11 04  1    @1 SHEIKH (Aziz)
A11 05  1    @1 MCMENAMIN (Jim)
A14 01      @1 Allergy and Respiratory Research Group, Centre for Population Health Sciences, The University of Edinburgh @2 Edinburgh @3 GBR @Z 1 aut. @Z 4 aut.
A14 02      @1 Centre of Academic Primary Care, University of Aberdeen @2 Aberdeen @3 GBR @Z 2 aut.
A14 03      @1 Department of Mathematics and Statistics, University of Strathclyde @2 Glasgow @3 GBR @Z 3 aut.
A14 04      @1 Health Protection Scotland @2 Glasgow @3 GBR @Z 3 aut. @Z 5 aut.
A14 05      @1 International Prevention Research Institute @2 Lyon @3 FRA @Z 3 aut.
A20       @1 696-702
A21       @1 2012
A23 01      @0 ENG
A43 01      @1 INIST @2 27478 @5 354000504472350160
A44       @0 0000 @1 © 2012 INIST-CNRS. All rights reserved.
A45       @0 38 ref.
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C01 01    ENG  @0 Background A targeted vaccination programme for pandemic H1N1 2009 influenza was introduced in Scotland, UK, in October, 2009. We sought to assess the effectiveness of this vaccine in a sample of the Scottish population during the 2009-10 pandemic. Methods We assessed the effectiveness of the Scottish pandemic H1N12009 influenza vaccination with a retrospective cohort design. We linked data of patient-level primary care, hospital records, death certification, and virological swabs to construct our cohort. We estimated vaccine effectiveness in a nationally representative sample of the Scottish population by establishing the risk of hospital admission and death (adjusted for potential confounders) resulting from influenza-related morbidity in vaccinated and unvaccinated patients and laboratory-confirmed cases of influenza H1N1 2009 in a subset of patients. Findings Pandemic H1N1 2009 influenza vaccination began in week 43 of 2009 (Oct 21, 2009) and was given to 38 296 (15.5%, 95% CI 15.4-15.6) of 247178 people by the end of the study period (Jan 31, 2010). 208 882 (85%) people were unvaccinated. There were 5207 emergency hospital admissions and 579 deaths in the unvaccinated population and 924 hospital admissions and 71 deaths in the vaccinated population during 23 893 359 person-days of observation. The effectiveness of H1N1 vaccination for prevention of emergency hospital admissions from influenza-related disorders was 19.5% (95% CI 0.8-34.7). The vaccine's effectiveness in preventing laboratory-confirmed influenza was 77.0% (95% CI 2.0-95.0). Interpretation Pandemic H1N12009 influenza vaccination was associated with protection against pandemic influenza and a reduction in hospital admissions from influenza-related disorders in Scotland during the 2009-10 pandemic.
C02 01  X    @0 002B05C02C
C03 01  X  FRE  @0 Grippe A @5 01
C03 01  X  ENG  @0 Influenza A @5 01
C03 01  X  SPA  @0 Gripe A @5 01
C03 02  X  FRE  @0 Immunoprophylaxie @5 04
C03 02  X  ENG  @0 Immunoprophylaxis @5 04
C03 02  X  SPA  @0 Inmunoprofilaxia @5 04
C03 03  X  FRE  @0 Prévention @5 07
C03 03  X  ENG  @0 Prevention @5 07
C03 03  X  SPA  @0 Prevención @5 07
C03 04  X  FRE  @0 Vaccin @5 08
C03 04  X  ENG  @0 Vaccine @5 08
C03 04  X  SPA  @0 Vacuna @5 08
C03 05  X  FRE  @0 Ecosse @2 NG @5 09
C03 05  X  ENG  @0 Scotland @2 NG @5 09
C03 05  X  SPA  @0 Escocia @2 NG @5 09
C03 06  X  FRE  @0 Etude cohorte @5 14
C03 06  X  ENG  @0 Cohort study @5 14
C03 06  X  SPA  @0 Estudio cohorte @5 14
C03 07  X  FRE  @0 Pandémie @4 INC @5 86
C07 01  X  FRE  @0 Virose
C07 01  X  ENG  @0 Viral disease
C07 01  X  SPA  @0 Virosis
C07 02  X  FRE  @0 Infection
C07 02  X  ENG  @0 Infection
C07 02  X  SPA  @0 Infección
C07 03  X  FRE  @0 Grande Bretagne @2 NG
C07 03  X  ENG  @0 Great Britain @2 NG
C07 03  X  SPA  @0 Gran Bretaña @2 NG
C07 04  X  FRE  @0 Royaume-Uni @2 NG
C07 04  X  ENG  @0 United Kingdom @2 NG
C07 04  X  SPA  @0 Reino Unido @2 NG
C07 05  X  FRE  @0 Europe @2 NG
C07 05  X  ENG  @0 Europe @2 NG
C07 05  X  SPA  @0 Europa @2 NG
N21       @1 282
N44 01      @1 OTO
N82       @1 OTO

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<div type="abstract" xml:lang="en">Background A targeted vaccination programme for pandemic H1N1 2009 influenza was introduced in Scotland, UK, in October, 2009. We sought to assess the effectiveness of this vaccine in a sample of the Scottish population during the 2009-10 pandemic. Methods We assessed the effectiveness of the Scottish pandemic H1N12009 influenza vaccination with a retrospective cohort design. We linked data of patient-level primary care, hospital records, death certification, and virological swabs to construct our cohort. We estimated vaccine effectiveness in a nationally representative sample of the Scottish population by establishing the risk of hospital admission and death (adjusted for potential confounders) resulting from influenza-related morbidity in vaccinated and unvaccinated patients and laboratory-confirmed cases of influenza H1N1 2009 in a subset of patients. Findings Pandemic H1N1 2009 influenza vaccination began in week 43 of 2009 (Oct 21, 2009) and was given to 38 296 (15.5%, 95% CI 15.4-15.6) of 247178 people by the end of the study period (Jan 31, 2010). 208 882 (85%) people were unvaccinated. There were 5207 emergency hospital admissions and 579 deaths in the unvaccinated population and 924 hospital admissions and 71 deaths in the vaccinated population during 23 893 359 person-days of observation. The effectiveness of H1N1 vaccination for prevention of emergency hospital admissions from influenza-related disorders was 19.5% (95% CI 0.8-34.7). The vaccine's effectiveness in preventing laboratory-confirmed influenza was 77.0% (95% CI 2.0-95.0). Interpretation Pandemic H1N12009 influenza vaccination was associated with protection against pandemic influenza and a reduction in hospital admissions from influenza-related disorders in Scotland during the 2009-10 pandemic.</div>
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<s0>Background A targeted vaccination programme for pandemic H1N1 2009 influenza was introduced in Scotland, UK, in October, 2009. We sought to assess the effectiveness of this vaccine in a sample of the Scottish population during the 2009-10 pandemic. Methods We assessed the effectiveness of the Scottish pandemic H1N12009 influenza vaccination with a retrospective cohort design. We linked data of patient-level primary care, hospital records, death certification, and virological swabs to construct our cohort. We estimated vaccine effectiveness in a nationally representative sample of the Scottish population by establishing the risk of hospital admission and death (adjusted for potential confounders) resulting from influenza-related morbidity in vaccinated and unvaccinated patients and laboratory-confirmed cases of influenza H1N1 2009 in a subset of patients. Findings Pandemic H1N1 2009 influenza vaccination began in week 43 of 2009 (Oct 21, 2009) and was given to 38 296 (15.5%, 95% CI 15.4-15.6) of 247178 people by the end of the study period (Jan 31, 2010). 208 882 (85%) people were unvaccinated. There were 5207 emergency hospital admissions and 579 deaths in the unvaccinated population and 924 hospital admissions and 71 deaths in the vaccinated population during 23 893 359 person-days of observation. The effectiveness of H1N1 vaccination for prevention of emergency hospital admissions from influenza-related disorders was 19.5% (95% CI 0.8-34.7). The vaccine's effectiveness in preventing laboratory-confirmed influenza was 77.0% (95% CI 2.0-95.0). Interpretation Pandemic H1N12009 influenza vaccination was associated with protection against pandemic influenza and a reduction in hospital admissions from influenza-related disorders in Scotland during the 2009-10 pandemic.</s0>
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<s5>09</s5>
</fC03>
<fC03 i1="05" i2="X" l="SPA">
<s0>Escocia</s0>
<s2>NG</s2>
<s5>09</s5>
</fC03>
<fC03 i1="06" i2="X" l="FRE">
<s0>Etude cohorte</s0>
<s5>14</s5>
</fC03>
<fC03 i1="06" i2="X" l="ENG">
<s0>Cohort study</s0>
<s5>14</s5>
</fC03>
<fC03 i1="06" i2="X" l="SPA">
<s0>Estudio cohorte</s0>
<s5>14</s5>
</fC03>
<fC03 i1="07" i2="X" l="FRE">
<s0>Pandémie</s0>
<s4>INC</s4>
<s5>86</s5>
</fC03>
<fC07 i1="01" i2="X" l="FRE">
<s0>Virose</s0>
</fC07>
<fC07 i1="01" i2="X" l="ENG">
<s0>Viral disease</s0>
</fC07>
<fC07 i1="01" i2="X" l="SPA">
<s0>Virosis</s0>
</fC07>
<fC07 i1="02" i2="X" l="FRE">
<s0>Infection</s0>
</fC07>
<fC07 i1="02" i2="X" l="ENG">
<s0>Infection</s0>
</fC07>
<fC07 i1="02" i2="X" l="SPA">
<s0>Infección</s0>
</fC07>
<fC07 i1="03" i2="X" l="FRE">
<s0>Grande Bretagne</s0>
<s2>NG</s2>
</fC07>
<fC07 i1="03" i2="X" l="ENG">
<s0>Great Britain</s0>
<s2>NG</s2>
</fC07>
<fC07 i1="03" i2="X" l="SPA">
<s0>Gran Bretaña</s0>
<s2>NG</s2>
</fC07>
<fC07 i1="04" i2="X" l="FRE">
<s0>Royaume-Uni</s0>
<s2>NG</s2>
</fC07>
<fC07 i1="04" i2="X" l="ENG">
<s0>United Kingdom</s0>
<s2>NG</s2>
</fC07>
<fC07 i1="04" i2="X" l="SPA">
<s0>Reino Unido</s0>
<s2>NG</s2>
</fC07>
<fC07 i1="05" i2="X" l="FRE">
<s0>Europe</s0>
<s2>NG</s2>
</fC07>
<fC07 i1="05" i2="X" l="ENG">
<s0>Europe</s0>
<s2>NG</s2>
</fC07>
<fC07 i1="05" i2="X" l="SPA">
<s0>Europa</s0>
<s2>NG</s2>
</fC07>
<fN21>
<s1>282</s1>
</fN21>
<fN44 i1="01">
<s1>OTO</s1>
</fN44>
<fN82>
<s1>OTO</s1>
</fN82>
</pA>
</standard>
</inist>
</record>

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   |area=    PandemieGrippaleV1
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